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FW: Forests and health. No child left inside.   Message List  
Reply | Forward Message #193 of 197 |

Abstract The physiological effects of “Shinrin-yoku” (taking

in the atmosphere of the forest) were examined by

investigating blood pressure, pulse rate, heart rate variability

(HRV), salivary cortisol concentration, and immunoglobulin A

concentration in saliva. Subjective feelings of being

“comfortable”, “calm”, and “refreshed” were also assessed by

questionnaire. The subjects were 12 male university students

aged from 21 to 23 (meanSD: 22.01.0). The physiological

measurements were conducted six times, i.e., in the morning

and evening before meals at the place of accommodation,

before and after the subjects walked a predetermined course in

the forest and city areas for 15 minutes, and before and after

they sat still on a chair watching the scenery in the respective

areas for 15 minutes. The findings were as follows. In the

forest area compared to the city area, 1) blood pressure and

pulse rate were significantly lower, and 2) the power of the HF

component of the HRV tended to be higher and LF/(LF[1]HF)

tended to be lower. Also, 3) salivary cortisol concentration was

significantly lower in the forest area. These physiological

responses suggest that sympathetic nervous activity was

suppressed and parasympathetic nervous activity was enhanced

in the forest area, and that “Shinrin-yoku” reduced stress

levels. In the subjective evaluation, 4) “comfortable”, “calm”,

and “refreshed” feelings were significantly higher in the forest

area. The present study has, by conducting physiological

investigations with subjective evaluations as supporting

evidence, demonstrated the relaxing and stress-relieving effects

of “Shinrin-yoku”. J Physiol Anthropol 26(2): 135–142, 2007

http://www.jstage.jst.go.jp/browse/jpa2

[DOI: 10.2114/jpa2.26.135]

Keywords: therapeutic effect of forest, natural environment,

heart rate variability, salivary cortisol, relaxation

Introduction

Stress control is one of the most important issues

confronting modern society. As reflected by the word

“Technostress”, coined by Brod in 1984, modern society is

becoming more complicated and highly industrialized,

consequently causing many stress-related disorders.

In “stressful” daily life, it is a common experience that

contact with the natural environment or natural objects

provides a feeling of relaxation or a release from tension. A

study conducted by Lohr et al. (1996) is considered to give

strong support to this contention. They clarified that plants in a

windowless office environment contributed to an improvement

in worker productivity. The authors have tried to examine the

pleasant feelings that natural objects induce in humans by

conducting physiological investigations. From studies dealing

with the five senses separately, we have clarified that the smell

of Japanese cedar wood lowered blood pressure and regional

cerebral blood flow in the prefrontal area (Miyazaki et al.,

1999), and the sound of murmuring water lowered blood

pressure (Mishima et al., 2004). As Frumkin (2001) showed

that a deep-seated connection between the natural world and

humans was unsurprising from an evolutionary perspective, we

assume that human physiological functions have had to adapt

to the natural environment; thus, it is somehow a stressor to

live in modern “artificial” society. It should be natural for

people, having this background, to feel a sense of comfort or

affinity with the natural environment.

Frumkin (2001) also pointed out that certain kinds of

contact with the natural world could enhance human health.

Animals, plants, landscapes, and wilderness experience were

cited as components of the natural world that can function to

enhance health. As one example of the clinical trials

conducted, Urlich (1984) did a remarkable study. He examined

Physiological Effects of Shinrin-yoku (Taking in the Atmosphere of

the Forest) in an Old-Growth Broadleaf Forest

in Yamagata Prefecture, Japan

Yuko Tsunetsugu1), Bum-Jin Park1), Hideki Ishii2), Hideki Hirano3),

Takahide Kagawa1) and Yoshifumi Miyazaki1)

1) Forestry and Forest Products Research Institute

2) Graduate School of the University of Tokyo

3) Ministry of the Environment

 

records on the recovery of patients in a hospital for 10 years

and found that patients with tree views had shorter

hospitalizations compared to patients with brick-wall views. In

the field of environmental health, the natural environment is

now seen as one of the factors which have an impact on human

health, not in the traditional context of causing harm by

exposure to environmental toxins, but from the viewpoint of

potentially enhancing our well-being through daily exposure to

the natural environment (Frumkin et al., 2002). Through these

previous studies, it has been confirmed that the natural

environment has a definite beneficial effect on humans.

“Shinrin-yoku” is a word coined by the Forestry Agency of the

Japanese government in 1982 to encourage utilization of

national forests for enhancement of physical and mental health.

It is a compound word made up of two independent words

meaning “forest” and “bathing”. Like sea bathing, to be in the

forest environment and take in the atmosphere of the forest in

expectation of a potential curative or therapeutic effect is

probably what the word “Shinrin-yoku” intends to convey.

Thus, from this perspective, the effect of “Shinrin-yoku”

should be considered as non-specific.

Though it would be reasonable to expect that “Shinrinyoku”

has beneficial effects on human physiology, there have

only been a few studies that have attempted to prove this

through on-site experiments. Ohtsuka et al. (1998) found that

the mean blood glucose level of diabetic patients significantly

decreased after “Shinrin-yoku” (walking 3 km to 6 km in the

forest). Ohira et al. (1999) examined the immunological and

endocrine indices, EEG, and ECG of twenty undergraduates in

a forest environment and in a non-forest environment. Their

main finding was that NK cell activity and immunoglobulin A,

G, and M were significantly increased after staying 8 hours in a

forest environment. There were no significant differences

between the forest and non-forest environments in terms of

their effects on the other physiological parameters or

psychological states (anxiety, mood, and subjective stress).

They pointed out the necessity of further studies, adding that

the bad weather and low temperature on the day of their

experiment might have reduced the pleasantness of “Shinrinyoku”.

The previous studies dealt with the effects that occurred over

a period of one day. However, in our previous studies, as

mentioned before (Miyazaki et al., 1999; Mishima et al.,

2004), changes in physiological parameters by the inhalation of

wood odor or the sound of murmuring water were observed

within 60 to 90 seconds. Though these were the results of

laboratory experiments, it can be expected that the impacts of

“Shinrin-yoku” on physiological response would be obtained

in a shorter time.

The aim of the present study was to clarify the effect of

“Shinrin-yoku” as a daily activity on healthy subjects. From

the viewpoint of preventive medicine or health maintenance,

“Shinrin-yoku” should be accessible and easy to implement.

Thus it was our intention to assess a program that included

activities of short duration. The evaluation was attempted by

measuring various parameters of autonomic nervous activity,

the endocrine system, and the immunological system.

Subjective feeling was also assessed using a questionnaire. The

experiment reported in the present paper was conducted as part

of a large-scale ongoing investigation on “Shinrin-yoku” in

Japan.

Materials and Methods

The experiment was conducted in a deciduous broadleaf

forest mainly consisting of old-growth beech in Nukumidaira

(Oguni, Yamagata, Japan) on the 28th and 29th of July, 2005.

For comparison, an area around Niigata Station (Niigata,

Japan) was used. The two experimental sites are shown on the

map in Figure 1. Hereinafter, the two sites are referred to as the

forest area and the city area (Fig. 2). The weather was fine in

both areas and the average temperature and relative humidity

was 23.5°C and 73.4% in the forest area and 26.4°C and

62.1% in the city area, respectively.

The subjects were 12 male university students aged from 21

to 23 (meanSD: 22.01.0). The subjects were assembled in

the afternoon on the day before the experiment. Sufficient

information on the aim and process of the experiment was

provided and written informed consent was obtained. The

study was performed under the regulations of the Institutional

Review Committee of the Forest and Forest Products Research

Institute of Japan. After a brief orientation, the subjects

previewed the experimental sites in the forest and the city

areas. Then a measurement practice was conducted at a place

of accommodation, which was located at approximately the

same distance (about 60 minutes by car) from both

136 Physiological Effects of Shinrin-yoku

Fig. 1 Location of the experimental sites.

 

experimental sites. Each subject stayed in a single room in the

hotel and all subjects had the same meals until the end of the

experiment.

The subjects were divided randomly into two groups

consisting of six people each. On the first day of the

experiment, one group was sent to the forest area, and the other

was sent to the city area. On the second day, each group went

to the other area to eliminate the order effect.

In the morning, each group was taken to the experimental

site and rested for a while in a nearby resting room. In the

forenoon, the subjects walked a predetermined course in each

area at an unhurried pace for 15 minutes. In the afternoon,

after taking lunch in the resting room, they sat on chairs

watching the scenery in each area for 15 minutes. The subjects

engaged in the walking and watching individually.

Physiological measurements were conducted six times a

day: (i) in the morning at the place of accommodation before

breakfast (06:15–07:15); (ii) before walking (10:40–11:30);

(iii) after walking (11:00–11:50); (iv) before watching (14:10–

15:00); (v) after watching (14:30–15:20); (vi) in the evening at

the place of accommodation before dinner (18:00–19:00). The

R-R interval was measured continuously during the walking

and watching in addition to these six specific measurement

times.

The measured physiological parameters were the R-R

interval of the electrocardiogram to analyze heart rate

variability (HRV), systolic and diastolic blood pressure, pulse

rate, salivary cortisol concentration, and secretory

immunoglobulin A (s-IgA) concentration in saliva. R-R

intervals were obtained by an ambulatory electrocardiogram

monitor (Active Tracer AC301A, GMS Corporation). They

were measured over 2 minutes during the resting state with

eyes closed in the morning and the evening, and before and

after walking and watching. R-R intervals were also taken

continuously for 15 minutes during walking and watching.

Systolic and diastolic blood pressure, and pulse rate were

measured by a digital blood pressure monitor using

oscillometric methods (HEM1000, Omron) on the right upper

arm. Saliva for analysis of cortisol and s-IgA was collected

using Salivette devices over a two-minute period. The saliva

samples were frozen after collection and subsequently

analyzed by SRL, Inc. In addition to the physiological

measurements, subjective “comfortable-uncomfortable” and

“calm-roused” feelings were estimated using a 13-point scale.

“Refreshed” feeling was measured with the Stress–Refresh

feeling test (Mackay et al., 1978). These subjective tests using

the questionnaire were also carried out six times a day at the

time of the physiological measurements.

R–R interval data were analyzed by the maximum entropy

method (Memcalc, GMS, Ohtomo et al., 1994). The power of

the low-frequency (LF; 0.04–0.15 Hz) component and the

high-frequency (HF; 0.15–0.4 Hz) component of the obtained

heart rate power spectrum were calculated for each minute. It

is considered that HF reflects parasympathetic nervous activity

and LF/(LF[1]HF) reflects sympathetic nervous activity. A

paired t-test was used to compare the physiological data

between the forest area and the city area. The Wilcoxon signed

rank test was used to compare the data on subjective feelings.

All statistical analysis was performed using StatView version

5.0 (SAS Institute Inc). p


0.05 was considered to be

significant.

Results

Subjective “comfortable” feelings in the forest area and the

city area at each measurement time are shown in Figure 3. The

forest area was evaluated as producing significantly more

comfortable feelings before and after walking (p


0.05) and

after being seated and watching (p


0.01) than the city area

did. By comparing before and after watching, it was clarified

that watching scenery in the forest area significantly increased

feelings of comfort (p


0.05) while activities in the city area

significantly decreased feelings of comfort (p


0.05 when

walking, p


0.01 when watching). Figure 4 shows the results

for a “calm” feeling in the forest and city areas. The forest area

was rated as producing significantly calmer feelings after

walking and watching than the city area did (p


0.05, p
0.01,

Tsunetsugu, Y et al. J Physiol Anthropol, 26: 135–142, 2007 137

Fig. 2 The scenery in the two experimental sites.

upper: Forest area lower: City area.

 

respectively). As in the case of a “comfortable” feeling,

watching in the forest area significantly enhanced the feeling

of calm (p


0.05), whereas the activities in the city

environment lowered this feeling (p


0.01 when walking,

p


0.05 when watching). Figure 5 shows the scores for a

“refreshed” feeling as gauged by the Stress–Refresh test. The

score was significantly higher in the forest area than in the city

area before and after walking and before and after watching

(p


0.05 before and after walking, and before watching,

p


0.01 after watching). Significant differences between before

and after the activities were only observed for the city area,

i.e., the city area caused a significant decrease in feeling

refreshed (p


0.05).

Figure 6 shows the mean value of systolic blood pressure in

each experimental site at each measurement time. Systolic

blood pressure was significantly lower in the forest area before

walking (p


0.05) and before (p
0.01) and after (p
0.05)

watching than in the city area. Figure 7 shows diastolic blood

pressure in the same sequence as systolic blood pressure.

Diastolic blood pressures showed significantly lower values in

the forest area before walking (p


0.05) and after watching

(p


0.01). In a comparison between before and after, diastolic

blood pressure decreased following walking in the city area

(p


0.05) and watching scenery in the forest area (p
0.05).

Figure 8 shows the change in the pulse rate. There was an

overall tendency for the pulse rate to be lower in the forest area

138 Physiological Effects of Shinrin-yoku

Fig. 3 Subjective comfortable feeling measured by questionnaire at six

measurement times in the forest area and in the city area.

N


9 at “Before walking” and “After walking”, N
11 at the other

times. *: p


0.05, **: p
0.01 by Wilcoxon signed rank test.

Fig. 4 Subjective calm feeling measured by questionnaire at six

measurement times in the forest area and in the city area.

N


9 at “Before walking” and “After walking”, N
11 at the other

times. *: p


0.05, **: p
0.01 by Wilcoxon signed rank test.

Fig. 5 Subjective refreshed feeling measured by the Stress–Refresh

feeling test at six measurement times in the forest area and in the city

area.

N


9 at “Before walking” and “After walking”, N
11 at the other

times. *: p


0.05, **: p
0.01 by Wilcoxon signed rank test.

Fig. 6 Changes in systolic blood pressure determined at six

measurement times in the forest area and in the city area.

N


9 at “Before walking” and “After walking”, N
11 at the other

times. *: p


0.05, **: p
0.01 by paired t-test.

Fig. 7 Changes in diastolic blood pressure determined at six

measurement times in the forest area and in the city area.

N


9 at “Before walking” and “After walking”, N
11 at the other

times. *: p


0.05, **: p
0.01 by paired t-test.

 

than in the city area except in the morning, and a significant

difference between the two sites was observed before walking.

Though it did not reach a significant level, the p-value was less

than 0.06 after walking and in the evening. Pulse rate

significantly decreased as a result of watching scenery in the

city area (p


0.01).

To assess the activity in the autonomic nervous system

separately from sympathetic nervous activity and

parasympathetic nervous activity, we investigated HRV by

means of frequency analysis of the R–R interval. Figure 9

shows the minute-by-minute change in the power of the HF

component of HRV over time. The data sequence is as follows:

morning (at the place of accommodation), before, during and

after walking, before, during and after watching, and evening

(at the place of accommodation). The HF power tended to be

higher in the forest area overall during walking. A significant

difference between the forest area and the city area was

observed at the 1st (p


0.01), 9th (p
0.05), and 15th

(p


0.05) minute during watching. Though the HF power

tended to be higher in the forest area than in the city area

before and after walking and watching, it did not reach a

significant difference (p-value was less than 0.06 at the 1st

minute in the measurement before walking and at the 2nd

minute after watching). Figure 10 shows the variation in

LF/(LF[1]HF) over time. The value in the forest area was

significantly lower at the 2nd (p


0.05) and 11th (p
0.05)

minute during walking and the 1st (p


0.05) and 9th (p
0.05)

minute during watching.

Tsunetsugu, Y et al. J Physiol Anthropol, 26: 135–142, 2007 139

Fig. 8 Changes in pulse determined at six measurement times in the

forest area and in the city area.

N


9 at “Before walking” and “After walking”, N
11 at the other

times. *: p


0.05, **: p
0.01 by paired t-test.

Fig. 9 Time-series change in the power of the HF component of HRV in the forest area and in the city area.

N


5–12, *: p
0.05, **: p
0.01 by paired t-test.

Fig. 10 Time-series change in LF/(LF[1]HF) of HRV in the forest area and in the city area.

N


5–12, *: p
0.05 by paired t-test.

 

Figure 11 shows the time course change in the salivary

cortisol concentration. As was already known, diurnal

variations where concentration is high in the morning and

tends to decrease as time progresses were observed in both

areas. Cortisol concentration was lower in the forest area than

in the city area at all measurement times, and there was a

significant difference between the two sites before and after

walking, and after watching (p


0.05). The p-value was less

than 0.06 before watching. The present study found no

significant difference in the s-IgA concentration. No significant

diurnal variation was found in the s-IgA concentration.

Discussion

The results for the forest area and the city area are

summarized in Table 1. No indices showed significant

differences between the forest area and the city area for the

measurements taken in the morning and the evening. The

differences were mainly observed before walking and after

being seated and watching the scenery, followed by after

walking, then before watching. All of the indices except s-IgA

were generally in excellent agreement with each other.

The results for the subjective evaluations showed that

walking around or watching the scenery in the forest area

created a feeling of comfort and calm. Feeling refreshed was

higher in the forest area both when walking and watching, and

both before and after the activities, which can be interpreted as

indicating that the forest environment itself induced the

refreshed feeling regardless of the kind of activity and the

measurement time.

The findings for blood pressure and pulse rate demonstrated

that activities in the forest area caused a relaxed physiological

state compared to the city area. The significant differences in

all of the three parameters (systolic and diastolic blood

pressure, and pulse rate) before walking suggest that the two

environments had already had different impacts on physiology

before activities commenced. The temperature in the period

10:00–12:00 was lower in the forest area (about 22–24°C in

the forest and 26–27°C in the city), and the forest area was felt

as significantly more “comfortable” and “refreshing” before

walking. The whole environment in the forest area was

considered to induce lower blood pressure and pulse rate. This

might also be affected by the fact that the subjects had stayed

in the forest environment for 1.5–2.5 hours from 9:00, which

corresponded to the measurement time of “before walking”.

The reason for no significant differences after walking seemed

to be that blood pressure and pulse rate tended to decrease (a

significant decrease in diastolic blood pressure) after walking

in the city area whereas they were rather stable in the forest

area. Since pulse rate did not increase, the 15-minute walking

conducted in the present study was assumed to be light

exercise for these subjects. It has been reported that moderate

140 Physiological Effects of Shinrin-yoku

Fig. 11 Changes in salivary cortisol concentration at six measurement

times in the forest area and in the city area.

N


9 at “Before walking” and “After walking”, N
11 at the other

times. *: p


0.05 by paired t-test.

Table 1 Summary of the comparison between the forest and city areas.

Physiological responses

Subjective feelings

Autonomic nervous system

Endocrine Immune

system system

Sys Dias Pulse

HF

LF/

BP BP Rate (LF[1]HF)

Cortisol s-IgA Comfort Calm Refreshed

Morning

Pre-walk F


C* F
C* F
C* F
C* F
C* FC* FC*

during

Post- walk walk F


C* FC* FC* FC*

Pre-watch F


C** FC* F
C* FC*

during during

Post-watch F


C* F
C** watch watch F
C* FC** FC* FC**

Evening

F: Forest area, C: City area, * indicates that significant differences were observed in the index at the 5% significance level, ** indicates that significant

differences were observed in the index at the 1% significance level.

 

exercise decreases blood pressure compared to the level before

exercise (Halliwill, 2001). The significant decrease in diastolic

blood pressure in the city area was hence considered to be the

effect of exercise. We assumed that diastolic blood pressure

was lowered already at the measurement time of “before

walking” in the forest area, so it did not decrease as a result of

walking. The significantly lower blood pressure after being

seated and watching the scenery in the forest area showed that

the activity had the effect of reducing stress. The fact that the

pulse rate of the subjects who returned from the forest in the

evening tended to be lower (p


0.06) might indicate that the

effect of “Shinrin-yoku” lasted for a certain amount of time.

The results for HRV showed that parasympathetic nervous

activity tended to be dominant in the forest area, which implies

that “Shinrin-yoku” had a relaxing effect. A rapid decrease in

HF when doing submaximal exercise (Yamamoto et al., 1991)

or ergometer exercise until exhaustion (Tabusadani et al.,

2001) has been reported in previous studies, but the decrease

in HF during walking in the city area in the present study was

not considered to be caused only by the exercise, since the

quantity of physical activity during walking calculated from

the acceleration of the subject was at the same level in each

area, and pulse rate did not show an increase after walking (the

exercise load was not as high as in previous studies). Thus the

decrease in HF components in the city area was also

considered to relate to the perceived mental stress (Dishman et

al., 2000; Hjortskov et al., 2004). From this point of view, the

relatively high HF in the forest area indicated a connection

with the subjective “comfortable” and “calm” feelings.

Recently, it was reported that soothing music caused a higher

HF component than stimulating music did (Iwanaga et al.,

2005), and that an increase in HF power was observed during

Zen meditation (Murata et al., 2004). The outcomes in the

present study are supportive of the results from those previous

studies. The effect of the environment was more significant

during watching. As the subjects sat still in a chair in both

areas, the results during watching can be inferred to have a

close association with the mood state. Parasympathetic

nervous activity was more dominant than in the period of

walking in both areas, and moreover, it was significantly more

dominant in the forest area than in the city area. The standard

deviation of HF power was larger in the forest area, possibly

because walking around or watching scenery in the city area

caused a stressed, heightened state equally in all subjects,

whereas the relaxing and calming effect of “Shinrin-yoku” was

more variable and depended to a certain extent on the

individual. Rosenwinkel et al. (2001) pointed out that HRV

may be more applicable to assessing parasympathetic nervous

activity than for assessing sympathetic function. In the present

study, the difference between the forest and city areas was not

as clear in LF/(LF[1]HF), but it can be supposed that

sympathetic nervous activity was more dominant in the city

area during walking and watching.

From the investigations of many previous studies

(Kirschbaum and Hellhammer, 1989; Ockenfels et al., 1995),

the result that cortisol concentration was significantly lower in

the forest area before and after walking, and after watching can

be interpreted as clearly demonstrating the relaxation effect of

“Shinrin-yoku”. O’Connor and Corrigan (1987) reported that a

significant increase in salivary cortisol was elicited by

submaximal exercise, while Jin (1989) found that moderate

exercise (practice of Tai Chi) decreased salivary cortisol levels.

The significant decrease after walking in the city area in the

present study might be attributable to the effect of the exercise.

The reason why there was no significant tendency toward an

increase or decrease in the IgA concentration in saliva in the

present study is unclear, and further consideration from the

viewpoint of individual variation, e.g., a connection with

personality (Ohira et al., 1999), or a relationship between kinds

of stress and the stress reaction mechanism (Fujiwara and

Yokoyama, 1990) is needed.

The responses in the parameter reflecting autonomic

nervous activity and cortisol concentration obviously

demonstrated that “Shinrin-yoku” in the forest was perceived

as a relaxing stimulation and caused an opposite response to

stress reaction through both the hypothalamus-pituitaryadrenal

cortex axis and the hypothalamus-sympathetic nervous

system-adrenal medulla axis. This idea is also supported by the

excellent agreement between the physiological responses and

the subjective ratings. It is considered that these results were

induced not by specific components in the forest, but by the

whole environment, including air, scenery, smell, sound, and

climatic conditions such as temperature.

In summary, in the forest area, 1) blood pressure and pulse

rate were significantly lower, and 2) the power of the HF

component tended to be higher and LF/(LF[1]HF) tended to be

lower. Also, 3) salivary cortisol concentration was significantly

lower in the forest area. The physiological responses suggest

that sympathetic nervous activity was suppressed and

parasympathetic nervous activity was enhanced in the forest

area, and “Shinrin-yoku” was responsible for reducing the

stress. In the subjective evaluation, 4) “comfortable”, “calm”,

and “refreshed” feelings were significantly higher in the forest

area. The relaxing effect of “Shinrin-yoku” was also felt

subjectively. In conclusion, the present study has proved the

relaxing and stress-relieving effects of “Shinrin-yoku” by

means of a physiological investigation, with subjective

evaluations providing supporting evidence.

Acknowledgements This study was supported partly by

Research Project for Utilizing Advanced Technologies in

Agriculture, Forestry and Fisheries, 2004 (1603) from the

Ministry of Agriculture, Forestry and Fisheries, Forest

Therapeutic Effects Research Association, Grants-in-Aid for

Scientific Research (No. 16107007) from the Ministry of

Education, Culture, Sports, Science and Technology.

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This article was presented at the 8th International Congress of

Physiological Anthropology, 2006 (ICPA 2006), in Kamakura,

Japan.

Received: September 30, 2006

Accepted: December 22, 2006

Correspondence to: Yuko Tsunetsugu, 1 Matsunosato,

Tsukuba, Ibaraki 305–8687, Japan

Phone: [1]83–29–829–8310

Fax: [1]83–29–874–3720

e-mail: yukot@...

142 Physiological Effects of Shinrin-yoku

 



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Abstract The physiological effects of “Shinrin-yoku” (taking
in the atmosphere of the forest) were examined by
investigating blood pressure, pulse rate, heart rate variability
(HRV), salivary cortisol concentration, and immunoglobulin A
concentration in saliva. Subjective feelings of being
“comfortable”, “calm”, and “refreshed” were also assessed by
questionnaire. The subjects were 12 male university students
aged from 21 to 23 (meanSD: 22.01.0). The physiological
measurements were conducted six times, i.e., in the morning
and evening before meals at the place of accommodation,
before and after the subjects walked a predetermined course in
the forest and city areas for 15 minutes, and before and after
they sat still on a chair watching the scenery in the respective
areas for 15 minutes. The findings were as follows. In the
forest area compared to the city area, 1) blood pressure and
pulse rate were significantly lower, and 2) the power of the HF
component of the HRV tended to be higher and LF/(LFHF)
tended to be lower. Also, 3) salivary cortisol concentration was
significantly lower in the forest area. These physiological
responses suggest that sympathetic nervous activity was
suppressed and parasympathetic nervous activity was enhanced
in the forest area, and that “Shinrin-yoku” reduced stress
levels. In the subjective evaluation, 4) “comfortable”, “calm”,
and “refreshed” feelings were significantly higher in the forest
area. The present study has, by conducting physiological
investigations with subjective evaluations as supporting
evidence, demonstrated the relaxing and stress-relieving effects
of “Shinrin-yoku”. J Physiol Anthropol 26(2): 135–142, 2007
http://www.jstage.jst.go.jp/browse/jpa2
[DOI: 10.2114/jpa2.26.135]
Keywords: therapeutic effect of forest, natural environment,
heart rate variability, salivary cortisol, relaxation
Introduction
Stress control is one of the most important issues
confronting modern society. As reflected by the word
“Technostress”, coined by Brod in 1984, modern society is
becoming more complicated and highly industrialized,
consequently causing many stress-related disorders.
In “stressful” daily life, it is a common experience that
contact with the natural environment or natural objects
provides a feeling of relaxation or a release from tension. A
study conducted by Lohr et al. (1996) is considered to give
strong support to this contention. They clarified that plants in a
windowless office environment contributed to an improvement
in worker productivity. The authors have tried to examine the
pleasant feelings that natural objects induce in humans by
conducting physiological investigations. From studies dealing
with the five senses separately, we have clarified that the smell
of Japanese cedar wood lowered blood pressure and regional
cerebral blood flow in the prefrontal area (Miyazaki et al.,
1999), and the sound of murmuring water lowered blood
pressure (Mishima et al., 2004). As Frumkin (2001) showed
that a deep-seated connection between the natural world and
humans was unsurprising from an evolutionary perspective, we
assume that human physiological functions have had to adapt
to the natural environment; thus, it is somehow a stressor to
live in modern “artificial” society. It should be natural for
people, having this background, to feel a sense of comfort or
affinity with the natural environment.
Frumkin (2001) also pointed out that certain kinds of
contact with the natural world could enhance human health.
Animals, plants, landscapes, and wilderness experience were
cited as components of the natural world that can function to
enhance health. As one example of the clinical trials
conducted, Urlich (1984) did a remarkable study. He examined
Physiological Effects of Shinrin-yoku (Taking in the Atmosphere of
the Forest) in an Old-Growth Broadleaf Forest
in Yamagata Prefecture, Japan
Yuko Tsunetsugu1), Bum-Jin Park1), Hideki Ishii2), Hideki Hirano3),
Takahide Kagawa1) and Yoshifumi Miyazaki1)
1) Forestry and Forest Products Research Institute
2) Graduate School of the University of Tokyo
3) Ministry of the Environment

records on the recovery of patients in a hospital for 10 years
and found that patients with tree views had shorter
hospitalizations compared to patients with brick-wall views. In
the field of environmental health, the natural environment is
now seen as one of the factors which have an impact on human
health, not in the traditional context of causing harm by
exposure to environmental toxins, but from the viewpoint of
potentially enhancing our well-being through daily exposure to
the natural environment (Frumkin et al., 2002). Through these
previous studies, it has been confirmed that the natural
environment has a definite beneficial effect on humans.
“Shinrin-yoku” is a word coined by the Forestry Agency of the
Japanese government in 1982 to encourage utilization of
national forests for enhancement of physical and mental health.
It is a compound word made up of two independent words
meaning “forest” and “bathing”. Like sea bathing, to be in the
forest environment and take in the atmosphere of the forest in
expectation of a potential curative or therapeutic effect is
probably what the word “Shinrin-yoku” intends to convey.
Thus, from this perspective, the effect of “Shinrin-yoku”
should be considered as non-specific.
Though it would be reasonable to expect that “Shinrinyoku”
has beneficial effects on human physiology, there have
only been a few studies that have attempted to prove this
through on-site experiments. Ohtsuka et al. (1998) found that
the mean blood glucose level of diabetic patients significantly
decreased after “Shinrin-yoku” (walking 3 km to 6 km in the
forest). Ohira et al. (1999) examined the immunological and
endocrine indices, EEG, and ECG of twenty undergraduates in
a forest environment and in a non-forest environment. Their
main finding was that NK cell activity and immunoglobulin A,
G, and M were significantly increased after staying 8 hours in a
forest environment. There were no significant differences
between the forest and non-forest environments in terms of
their effects on the other physiological parameters or
psychological states (anxiety, mood, and subjective stress).
They pointed out the necessity of further studies, adding that
the bad weather and low temperature on the day of their
experiment might have reduced the pleasantness of “Shinrinyoku”.
The previous studies dealt with the effects that occurred over
a period of one day. However, in our previous studies, as
mentioned before (Miyazaki et al., 1999; Mishima et al.,
2004), changes in physiological parameters by the inhalation of
wood odor or the sound of murmuring water were observed
within 60 to 90 seconds. Though these were the results of
laboratory experiments, it can be expected that the impacts of
“Shinrin-yoku” on physiological response would be obtained
in a shorter time.
The aim of the present study was to clarify the effect of
“Shinrin-yoku” as a daily activity on healthy subjects. From
the viewpoint of preventive medicine or health maintenance,
“Shinrin-yoku” should be accessible and easy to implement.
Thus it was our intention to assess a program that included
activities of short duration. The evaluation was attempted by
measuring various parameters of autonomic nervous activity,
the endocrine system, and the immunological system.
Subjective feeling was also assessed using a questionnaire. The
experiment reported in the present paper was conducted as part
of a large-scale ongoing investigation on “Shinrin-yoku” in
Japan.
Materials and Methods
The experiment was conducted in a deciduous broadleaf
forest mainly consisting of old-growth beech in Nukumidaira
(Oguni, Yamagata, Japan) on the 28th and 29th of July, 2005.
For comparison, an area around Niigata Station (Niigata,
Japan) was used. The two experimental sites are shown on the
map in Figure 1. Hereinafter, the two sites are referred to as the
forest area and the city area (Fig. 2). The weather was fine in
both areas and the average temperature and relative humidity
was 23.5°C and 73.4% in the forest area and 26.4°C and
62.1% in the city area, respectively.
The subjects were 12 male university students aged from 21
to 23 (meanSD: 22.01.0). The subjects were assembled in
the afternoon on the day before the experiment. Sufficient
information on the aim and process of the experiment was
provided and written informed consent was obtained. The
study was performed under the regulations of the Institutional
Review Committee of the Forest and Forest Products Research
Institute of Japan. After a brief orientation, the subjects
previewed the experimental sites in the forest and the city
areas. Then a measurement practice was conducted at a place
of accommodation, which was located at approximately the
same distance (about 60 minutes by car) from both
136 Physiological Effects of Shinrin-yoku
Fig. 1 Location of the experimental sites.

experimental sites. Each subject stayed in a single room in the
hotel and all subjects had the same meals until the end of the
experiment.
The subjects were divided randomly into two groups
consisting of six people each. On the first day of the
experiment, one group was sent to the forest area, and the other
was sent to the city area. On the second day, each group went
to the other area to eliminate the order effect.
In the morning, each group was taken to the experimental
site and rested for a while in a nearby resting room. In the
forenoon, the subjects walked a predetermined course in each
area at an unhurried pace for 15 minutes. In the afternoon,
after taking lunch in the resting room, they sat on chairs
watching the scenery in each area for 15 minutes. The subjects
engaged in the walking and watching individually.
Physiological measurements were conducted six times a
day: (i) in the morning at the place of accommodation before
breakfast (06:15–07:15); (ii) before walking (10:40–11:30);
(iii) after walking (11:00–11:50); (iv) before watching (14:10–
15:00); (v) after watching (14:30–15:20); (vi) in the evening at
the place of accommodation before dinner (18:00–19:00). The
R-R interval was measured continuously during the walking
and watching in addition to these six specific measurement
times.
The measured physiological parameters were the R-R
interval of the electrocardiogram to analyze heart rate
variability (HRV), systolic and diastolic blood pressure, pulse
rate, salivary cortisol concentration, and secretory
immunoglobulin A (s-IgA) concentration in saliva. R-R
intervals were obtained by an ambulatory electrocardiogram
monitor (Active Tracer AC301A, GMS Corporation). They
were measured over 2 minutes during the resting state with
eyes closed in the morning and the evening, and before and
after walking and watching. R-R intervals were also taken
continuously for 15 minutes during walking and watching.
Systolic and diastolic blood pressure, and pulse rate were
measured by a digital blood pressure monitor using
oscillometric methods (HEM1000, Omron) on the right upper
arm. Saliva for analysis of cortisol and s-IgA was collected
using Salivette devices over a two-minute period. The saliva
samples were frozen after collection and subsequently
analyzed by SRL, Inc. In addition to the physiological
measurements, subjective “comfortable-uncomfortable” and
“calm-roused” feelings were estimated using a 13-point scale.
“Refreshed” feeling was measured with the Stress–Refresh
feeling test (Mackay et al., 1978). These subjective tests using
the questionnaire were also carried out six times a day at the
time of the physiological measurements.
R–R interval data were analyzed by the maximum entropy
method (Memcalc, GMS, Ohtomo et al., 1994). The power of
the low-frequency (LF; 0.04–0.15 Hz) component and the
high-frequency (HF; 0.15–0.4 Hz) component of the obtained
heart rate power spectrum were calculated for each minute. It
is considered that HF reflects parasympathetic nervous activity
and LF/(LFHF) reflects sympathetic nervous activity. A
paired t-test was used to compare the physiological data
between the forest area and the city area. The Wilcoxon signed
rank test was used to compare the data on subjective feelings.
All statistical analysis was performed using StatView version
5.0 (SAS Institute Inc). p0.05 was considered to be
significant.
Results
Subjective “comfortable” feelings in the forest area and the
city area at each measurement time are shown in Figure 3. The
forest area was evaluated as producing significantly more
comfortable feelings before and after walking (p0.05) and
after being seated and watching (p0.01) than the city area
did. By comparing before and after watching, it was clarified
that watching scenery in the forest area significantly increased
feelings of comfort (p0.05) while activities in the city area
significantly decreased feelings of comfort (p0.05 when
walking, p0.01 when watching). Figure 4 shows the results
for a “calm” feeling in the forest and city areas. The forest area
was rated as producing significantly calmer feelings after
walking and watching than the city area did (p0.05, p0.01,
Tsunetsugu, Y et al. J Physiol Anthropol, 26: 135–142, 2007 137
Fig. 2 The scenery in the two experimental sites.
upper: Forest area lower: City area.

respectively). As in the case of a “comfortable” feeling,
watching in the forest area significantly enhanced the feeling
of calm (p0.05), whereas the activities in the city
environment lowered this feeling (p0.01 when walking,
p0.05 when watching). Figure 5 shows the scores for a
“refreshed” feeling as gauged by the Stress–Refresh test. The
score was significantly higher in the forest area than in the city
area before and after walking and before and after watching
(p0.05 before and after walking, and before watching,
p0.01 after watching). Significant differences between before
and after the activities were only observed for the city area,
i.e., the city area caused a significant decrease in feeling
refreshed (p0.05).
Figure 6 shows the mean value of systolic blood pressure in
each experimental site at each measurement time. Systolic
blood pressure was significantly lower in the forest area before
walking (p0.05) and before (p0.01) and after (p0.05)
watching than in the city area. Figure 7 shows diastolic blood
pressure in the same sequence as systolic blood pressure.
Diastolic blood pressures showed significantly lower values in
the forest area before walking (p0.05) and after watching
(p0.01). In a comparison between before and after, diastolic
blood pressure decreased following walking in the city area
(p0.05) and watching scenery in the forest area (p0.05).
Figure 8 shows the change in the pulse rate. There was an
overall tendency for the pulse rate to be lower in the forest area
138 Physiological Effects of Shinrin-yoku
Fig. 3 Subjective comfortable feeling measured by questionnaire at six
measurement times in the forest area and in the city area.
N9 at “Before walking” and “After walking”, N11 at the other
times. *: p0.05, **: p0.01 by Wilcoxon signed rank test.
Fig. 4 Subjective calm feeling measured by questionnaire at six
measurement times in the forest area and in the city area.
N9 at “Before walking” and “After walking”, N11 at the other
times. *: p0.05, **: p0.01 by Wilcoxon signed rank test.
Fig. 5 Subjective refreshed feeling measured by the Stress–Refresh
feeling test at six measurement times in the forest area and in the city
area.
N9 at “Before walking” and “After walking”, N11 at the other
times. *: p0.05, **: p0.01 by Wilcoxon signed rank test.
Fig. 6 Changes in systolic blood pressure determined at six
measurement times in the forest area and in the city area.
N9 at “Before walking” and “After walking”, N11 at the other
times. *: p0.05, **: p0.01 by paired t-test.
Fig. 7 Changes in diastolic blood pressure determined at six
measurement times in the forest area and in the city area.
N9 at “Before walking” and “After walking”, N11 at the other
times. *: p0.05, **: p0.01 by paired t-test.

than in the city area except in the morning, and a significant
difference between the two sites was observed before walking.
Though it did not reach a significant level, the p-value was less
than 0.06 after walking and in the evening. Pulse rate
significantly decreased as a result of watching scenery in the
city area (p0.01).
To assess the activity in the autonomic nervous system
separately from sympathetic nervous activity and
parasympathetic nervous activity, we investigated HRV by
means of frequency analysis of the R–R interval. Figure 9
shows the minute-by-minute change in the power of the HF
component of HRV over time. The data sequence is as follows:
morning (at the place of accommodation), before, during and
after walking, before, during and after watching, and evening
(at the place of accommodation). The HF power tended to be
higher in the forest area overall during walking. A significant
difference between the forest area and the city area was
observed at the 1st (p0.01), 9th (p0.05), and 15th
(p0.05) minute during watching. Though the HF power
tended to be higher in the forest area than in the city area
before and after walking and watching, it did not reach a
significant difference (p-value was less than 0.06 at the 1st
minute in the measurement before walking and at the 2nd
minute after watching). Figure 10 shows the variation in
LF/(LFHF) over time. The value in the forest area was
significantly lower at the 2nd (p0.05) and 11th (p0.05)
minute during walking and the 1st (p0.05) and 9th (p0.05)
minute during watching.
Tsunetsugu, Y et al. J Physiol Anthropol, 26: 135–142, 2007 139
Fig. 8 Changes in pulse determined at six measurement times in the
forest area and in the city area.
N9 at “Before walking” and “After walking”, N11 at the other
times. *: p0.05, **: p0.01 by paired t-test.
Fig. 9 Time-series change in the power of the HF component of HRV in the forest
area and in the city area.
N5–12, *: p0.05, **: p0.01 by paired t-test.
Fig. 10 Time-series change in LF/(LFHF) of HRV in the forest area and in the
city area.
N5–12, *: p0.05 by paired t-test.

Figure 11 shows the time course change in the salivary
cortisol concentration. As was already known, diurnal
variations where concentration is high in the morning and
tends to decrease as time progresses were observed in both
areas. Cortisol concentration was lower in the forest area than
in the city area at all measurement times, and there was a
significant difference between the two sites before and after
walking, and after watching (p0.05). The p-value was less
than 0.06 before watching. The present study found no
significant difference in the s-IgA concentration. No significant
diurnal variation was found in the s-IgA concentration.
Discussion
The results for the forest area and the city area are
summarized in Table 1. No indices showed significant
differences between the forest area and the city area for the
measurements taken in the morning and the evening. The
differences were mainly observed before walking and after
being seated and watching the scenery, followed by after
walking, then before watching. All of the indices except s-IgA
were generally in excellent agreement with each other.
The results for the subjective evaluations showed that
walking around or watching the scenery in the forest area
created a feeling of comfort and calm. Feeling refreshed was
higher in the forest area both when walking and watching, and
both before and after the activities, which can be interpreted as
indicating that the forest environment itself induced the
refreshed feeling regardless of the kind of activity and the
measurement time.
The findings for blood pressure and pulse rate demonstrated
that activities in the forest area caused a relaxed physiological
state compared to the city area. The significant differences in
all of the three parameters (systolic and diastolic blood
pressure, and pulse rate) before walking suggest that the two
environments had already had different impacts on physiology
before activities commenced. The temperature in the period
10:00–12:00 was lower in the forest area (about 22–24°C in
the forest and 26–27°C in the city), and the forest area was felt
as significantly more “comfortable” and “refreshing” before
walking. The whole environment in the forest area was
considered to induce lower blood pressure and pulse rate. This
might also be affected by the fact that the subjects had stayed
in the forest environment for 1.5–2.5 hours from 9:00, which
corresponded to the measurement time of “before walking”.
The reason for no significant differences after walking seemed
to be that blood pressure and pulse rate tended to decrease (a
significant decrease in diastolic blood pressure) after walking
in the city area whereas they were rather stable in the forest
area. Since pulse rate did not increase, the 15-minute walking
conducted in the present study was assumed to be light
exercise for these subjects. It has been reported that moderate
140 Physiological Effects of Shinrin-yoku
Fig. 11 Changes in salivary cortisol concentration at six measurement
times in the forest area and in the city area.
N9 at “Before walking” and “After walking”, N11 at the other
times. *: p0.05 by paired t-test.
Table 1 Summary of the comparison between the forest and city areas.
Physiological responses
Subjective feelings
Autonomic nervous system
Endocrine Immune
system system
Sys Dias Pulse
HF
LF/
BP BP Rate (LFHF)
Cortisol s-IgA Comfort Calm Refreshed
Morning
Pre-walk FC* FC* FC* FC* FC* FC* FC*
during
Post- walk walk FC* FC* FC* FC*
Pre-watch FC** FC* FC* FC*
during during
Post-watch FC* FC** watch watch FC* FC** FC* FC**
Evening
F: Forest area, C: City area, * indicates that significant differences were
observed in the index at the 5% significance level, ** indicates that
significant
differences were observed in the index at the 1% significance level.

exercise decreases blood pressure compared to the level before
exercise (Halliwill, 2001). The significant decrease in diastolic
blood pressure in the city area was hence considered to be the
effect of exercise. We assumed that diastolic blood pressure
was lowered already at the measurement time of “before
walking” in the forest area, so it did not decrease as a result of
walking. The significantly lower blood pressure after being
seated and watching the scenery in the forest area showed that
the activity had the effect of reducing stress. The fact that the
pulse rate of the subjects who returned from the forest in the
evening tended to be lower (p0.06) might indicate that the
effect of “Shinrin-yoku” lasted for a certain amount of time.
The results for HRV showed that parasympathetic nervous
activity tended to be dominant in the forest area, which implies
that “Shinrin-yoku” had a relaxing effect. A rapid decrease in
HF when doing submaximal exercise (Yamamoto et al., 1991)
or ergometer exercise until exhaustion (Tabusadani et al.,
2001) has been reported in previous studies, but the decrease
in HF during walking in the city area in the present study was
not considered to be caused only by the exercise, since the
quantity of physical activity during walking calculated from
the acceleration of the subject was at the same level in each
area, and pulse rate did not show an increase after walking (the
exercise load was not as high as in previous studies). Thus the
decrease in HF components in the city area was also
considered to relate to the perceived mental stress (Dishman et
al., 2000; Hjortskov et al., 2004). From this point of view, the
relatively high HF in the forest area indicated a connection
with the subjective “comfortable” and “calm” feelings.
Recently, it was reported that soothing music caused a higher
HF component than stimulating music did (Iwanaga et al.,
2005), and that an increase in HF power was observed during
Zen meditation (Murata et al., 2004). The outcomes in the
present study are supportive of the results from those previous
studies. The effect of the environment was more significant
during watching. As the subjects sat still in a chair in both
areas, the results during watching can be inferred to have a
close association with the mood state. Parasympathetic
nervous activity was more dominant than in the period of
walking in both areas, and moreover, it was significantly more
dominant in the forest area than in the city area. The standard
deviation of HF power was larger in the forest area, possibly
because walking around or watching scenery in the city area
caused a stressed, heightened state equally in all subjects,
whereas the relaxing and calming effect of “Shinrin-yoku” was
more variable and depended to a certain extent on the
individual. Rosenwinkel et al. (2001) pointed out that HRV
may be more applicable to assessing parasympathetic nervous
activity than for assessing sympathetic function. In the present
study, the difference between the forest and city areas was not
as clear in LF/(LFHF), but it can be supposed that
sympathetic nervous activity was more dominant in the city
area during walking and watching.
From the investigations of many previous studies
(Kirschbaum and Hellhammer, 1989; Ockenfels et al., 1995),
the result that cortisol concentration was significantly lower in
the forest area before and after walking, and after watching can
be interpreted as clearly demonstrating the relaxation effect of
“Shinrin-yoku”. O’Connor and Corrigan (1987) reported that a
significant increase in salivary cortisol was elicited by
submaximal exercise, while Jin (1989) found that moderate
exercise (practice of Tai Chi) decreased salivary cortisol levels.
The significant decrease after walking in the city area in the
present study might be attributable to the effect of the exercise.
The reason why there was no significant tendency toward an
increase or decrease in the IgA concentration in saliva in the
present study is unclear, and further consideration from the
viewpoint of individual variation, e.g., a connection with
personality (Ohira et al., 1999), or a relationship between kinds
of stress and the stress reaction mechanism (Fujiwara and
Yokoyama, 1990) is needed.
The responses in the parameter reflecting autonomic
nervous activity and cortisol concentration obviously
demonstrated that “Shinrin-yoku” in the forest was perceived
as a relaxing stimulation and caused an opposite response to
stress reaction through both the hypothalamus-pituitaryadrenal
cortex axis and the hypothalamus-sympathetic nervous
system-adrenal medulla axis. This idea is also supported by the
excellent agreement between the physiological responses and
the subjective ratings. It is considered that these results were
induced not by specific components in the forest, but by the
whole environment, including air, scenery, smell, sound, and
climatic conditions such as temperature.
In summary, in the forest area, 1) blood pressure and pulse
rate were significantly lower, and 2) the power of the HF
component tended to be higher and LF/(LFHF) tended to be
lower. Also, 3) salivary cortisol concentration was significantly
lower in the forest area. The physiological responses suggest
that sympathetic nervous activity was suppressed and
parasympathetic nervous activity was enhanced in the forest
area, and “Shinrin-yoku” was responsible for reducing the
stress. In the subjective evaluation, 4) “comfortable”, “calm”,
and “refreshed” feelings were significantly higher in the forest
area. The relaxing effect of “Shinrin-yoku” was also felt
subjectively. In conclusion, the present study has proved the
relaxing and stress-relieving effects of “Shinrin-yoku” by
means of a physiological investigation, with subjective
evaluations providing supporting evidence.
Acknowledgements This study was supported partly by
Research Project for Utilizing Advanced Technologies in
Agriculture, Forestry and Fisheries, 2004 (1603) from the
Ministry of Agriculture, Forestry and Fisheries, Forest
Therapeutic Effects Research Association, Grants-in-Aid for
Scientific Research (No. 16107007) from the Ministry of
Education, Culture, Sports, Science and Technology.
References
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This article was presented at the 8th International Congress of
Physiological Anthropology, 2006 (ICPA 2006), in Kamakura,
Japan.
Received: September 30, 2006
Accepted: December 22, 2006
Correspondence to: Yuko Tsunetsugu, 1 Matsunosato,
Tsukuba, Ibaraki 305–8687, Japan
Phone: 83–29–829–8310
Fax: 83–29–874–3720
e-mail: yukot@...
142 Physiological Effects of Shinrin-yoku



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Abstract The physiological effects of “Shinrin-yoku” (taking in the atmosphere of the forest) were examined by investigating blood pressure, pulse rate,...
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